Is Thyroid RFA Safe and is it Effective for Benign Thyroid Nodules as Alternative to Surgery? The Answer is Yes.
Comments by Dr.Guttler
Korean J Radiol. 2018 Jan-Feb;19(1):167-174.
Jung Suk Sim, MD, PhD, et al
Efficacy and Safety of Radiofrequency Ablation for Benign Thyroid Nodules: A Prospective Multicenter Study
1.2010 to 2011, 345 nodules from 345 patients (M:F = 43:302; mean age ± SD = 46.0 ± 12.7 years, range = 15–79) who met eligibility criteria were enrolled from five institutions.
2. The mean volume was 14.2 ± 13.2 mL (1.1–80.8 mL)
3.12 months or longer after treatment, 276 lesions, consisting of 248 solid and 28 predominantly cystic nodules, were followed.
4.All operators performed RF ablation with a cool-tip RF system and two standard techniques (a transisthmic approach and the moving-shot technique)
5.The mean volume reduction at 12 months was 80.3% (n = 276) and at the 24-, 36-, 48-, and 60-month follow-ups 84.3% (n = 198), 89.2% (n = 128), 91.9% (n = 57), and 95.3% (n = 6), respectively. Our therapeutic success was 97.8%.
6.Both mean symptom and cosmetic scores showed significant improvements (p < 0.001). The rate of major complications was 1.0% (3/276). Solidity and applied energy were independent factors that predicted volume reduction.
7.Radiofrequency ablation performed by trained radiologists from multiple institutions using a unified protocol and similar devices was effective and safe for treating benign thyroid nodules.
Comments: Present state is Thyroid RF is not FDA approved in the USA, and patients need to travel to Italy or Korea. This is arranged by referral after my evaluation. The patient will only have to stay 2 days just for the treatment.
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